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NOVANT HEALTH INTEGRATIVE MEDICINE
NPI 1811409642
Emergency Medicine in Winston Salem, NC

Active since November 02, 2017
190 KIMEL PARK DR STE 125, WINSTON SALEM, NC 27103(336) 277-6009(336) 277-4459 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2024, Jul 10, 2023, Aug 18, 2021 and 4 more (7 updates tracked since 2017).

About Novant Health Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH INTEGRATIVE MEDICINE (NPI 1811409642) is a healthcare organization registered as an emergency medicine in Winston Salem, North Carolina and active in the NPI registry since November 2017. The organization lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1811409642
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameNOVANT HEALTH MEDICAL GROUP, LLC
Location Address190 KIMEL PARK DR STE 125Winston Salem, NC 27103-6946
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 277-6009
Fax(336) 277-4459
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateNovember 2, 2017
Last NPPES UpdateJune 20, 20247 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1811409642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
190 KIMEL PARK DR STE 125, Winston Salem, NC 27103
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Other Names 2

Doing Business AsNovant Health Integrative Medicine
Doing Business AsNovant Health Cancer Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Integrative Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2,991

Medicare enrollment records show 2,991 clinicians reassign Medicare billing to Novant Health Integrative Medicine, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 618 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 63

Nurse Practitioner759
Family Practice327
Hospitalist302
Pediatric Medicine233
Obstetrics/Gynecology187
Internal Medicine178
Neurology150
Cardiovascular Disease (Cardiology)94
55 other specialties761

Nearest to this location (20)

See all 2,991
Rachel Baldwin, MD, MPH
Preventive Medicine
NPI 1679614564
190 KIMEL PARK DR STE 125
Winston Salem, NC 27103
(336) 277-6009
✔ PECOS✔ Accepts MedicareSame address
William Beshears, DNP
Nurse Practitioner
NPI 1235781782
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
William Brown, MD
Neurosurgery
NPI 1932141827
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Jamie Buhagiar, FNP
Nurse Practitioner
NPI 1427791979
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 718-7063
✔ PECOS✔ Accepts MedicareSame address
Sarah Bush, NP
Nurse Practitioner
NPI 1760921522
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Kristin Daniel
Nurse Practitioner
NPI 1518588409
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Michelle De Witt, M.D.
Neurology
NPI 1124472170
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Jane Duffey, NP
Nurse Practitioner
NPI 1487681276
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Andrew Evans, M.D.
Neurology
NPI 1063692721
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 765-5553
✔ PECOS✔ Accepts MedicareSame address
John Gibson, M.D.
Neurology
NPI 1326057928
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Kathryn Hartgrove
Nurse Practitioner
NPI 1639642994
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Mark Hnilica, MD
Neurosurgery
NPI 1922091339
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Kuhn, M.D.
Neurology
NPI 1285044347
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Ashleigh Lucas, AGNP-C
Nurse Practitioner
NPI 1790266310
190 KIMEL PARK DR STE 140
Winston Salem, NC 27103
(336) 277-2225
✔ PECOS✔ Accepts MedicareSame address
Tania Mattioli, NP
Nurse Practitioner
NPI 1396184362
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Scott Nimmons, MD
Orthopedic Surgery
NPI 1386090579
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
Nancy Rosales, MD
Neurology
NPI 1114246717
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Leroy Seaux, MD
Neurology
NPI 1225096225
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 765-5553
✔ PECOS✔ Accepts MedicareSame address
Lucie Temple, MD
Neurology
NPI 1245298249
190 KIMEL PARK DR STE 120
Winston Salem, NC 27103
(336) 277-2200
✔ PECOS✔ Accepts MedicareSame address
Kevin Shah
Neurosurgery
NPI 1467816983
190 KIMEL PARK DR STE 155
Winston Salem, NC 27103
(336) 765-6637
✔ PECOS✔ Accepts MedicareSame address
See all 2,991 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Medical Group, LLC's NPI number?

The NPI number for Novant Health Medical Group, LLC is 1811409642. It was assigned to this organization in the NPPES registry on November 2, 2017. The provider is doing business as Novant Health Integrative Medicine and Novant Health Cancer Institute.

Where is Novant Health Medical Group, LLC located?

Novant Health Medical Group, LLC is located at 190 Kimel Park Dr Ste 125, Winston Salem, NC 27103. The listed phone number is (336) 277-6009.

What is Novant Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Novant Health Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,991 clinicians in 63 Medicare specialties reassign their Medicare billing to Novant Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (759), Family Practice (327) and Hospitalist (302). Of these, 28 practice at this address and 618 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novant Health Medical Group, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.